Individual
MS. KANDY LEE ABOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
100 W GRIGGS AVE, LAS CRUCES, NM 88001-1234
(575) 647-2800
(575) 647-2898
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP01783
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9029028
—
NM
Enumeration date
08/25/2006
Last updated
08/22/2018
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